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General NPI Number Information
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NPI Number | 1174592232
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Entity Type | Individual
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Provider Name | WILLIAM F GREEN CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-376-9990
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Fax | 740-376-9993
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Provider Business Mailing Address
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Address Line | 197 MASONIC PARK RD
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City | MARIETTA
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State | OH
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Zip | 45750-1028
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Country | US
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Telephone | 407-885-9322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.08602
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License Number State | OH
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